Ruptured right valsalva sinus into the right atrium due to infective endocarditis: a case report

Abetti, Ayoub; Gandet, Thomas; Amri, Abdul Aziz Al; Ibrahimi, Marouane Ouazzani; Rouvière, Philippe; Meilhac, Alexandra; Agullo, Audrey; Demaria, Roland; Frapier, Jean Marc; Albat, Bernard

doi:10.11604/pamj.2020.37.65.21491

Cited by 4 publications

(7 citation statements)

References 12 publications

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“…Infective endocarditis was considered the cause of SOVA in one patient [5]. In the remaining 22 patients, SOVA was congenital in origin.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 48 papers were identified, of which 28 records not related to the theme were excluded. A total of 20 full-text papers representing 23 patients, children and adults included, were included in this review [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: Resultsmentioning

confidence: 99%

“…A case series with 4 patients and 19 clinical cases of SOVA were identified from reports published between 1962 and 2021 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Overall, 23 patients with SOVA were identified, and there were 14 males (60.8%) and 9 females (39.1%) (male/female ratio: 1.6/1).…”

Section: Resultsmentioning

confidence: 99%

“…Two of them died suddenly, and one patient died of refractory heart failure. Among the 8 operated patients, one patient with three months and another with 6 months, and five patients with one year and another with 3 years of follow-up remain asymptomatic, which reflects a good result in the short-medium term [4,5,7,8,15,17,23].…”

Section: Resultsmentioning

confidence: 99%

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Sinus of Valsalva aneurysm in Africa: a literature review

Morais

Ferreira

2022

CDS

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Sinus of Valsalva aneurysm (SOVA) is a rare congenital anomaly. The incidence of SOVA is five times higher among Asians than among Western populations. Currently, there is a lack of information on the clinical presentations of this entity in Africans. This study aims to perform a comprehensive review of papers concerning SOVA in the African population. In this study, papers published from 1962 to April 2021 were collected by entering the keywords, “SOVA” and “The name of each African country”, in the PubMed database, and a manual search was performed using citations from primary papers to retrieve any other reports not included in PubMed. As shown, 23 patients with SOVA were included in this review. There were 14 males (60.8%) and 9 females (39.1%), and their average age was 28.7 ± 13.9 years old. Their most frequent clinical presentation was dyspnea followed by palpitations. SOVA arose from the right sinus of Valsalva in 65.2% of cases, the dissection into interventricular septum (IVS) was the most frequent complication, accounting for 52.2% of cases, and the main cardiac anomalies associated with SOVA were other congenital cardiac aneurysms. In conclusion, in Africans, SOVA arises more often from the right sinus of Valsalva, the main complication of SOVA is their dissection into IVS, and the main cardiac anomalies associated with SOVA in the African population are other congenital cardiac aneurysms. These differences are important in the surgical planning of African patients.

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“…Infective endocarditis was considered the cause of SOVA in one patient [5]. In the remaining 22 patients, SOVA was congenital in origin.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Sinus of Valsalva aneurysm in Africa: a literature review

Morais

Ferreira

2022

CDS

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“…Aneurysms of the sinuses of Valsalva are de ned as dilatation of the aortic root region between the aortic annulus and the sinotubular junction.They may be congenital, especially secondary to connective tissue disorders or in conjunction with congenital cardiac defects, or acquired such as secondary to infections or trauma [1].Sinus of Valsalva aneurysm is just an uncommon cardiac anomaly,a congenital or acquired cardiac defect that is present in roughly 0.09% of the general population.With an incidence of less than 1% of opening heart surgery cases.The gold standard treatment for Sinus of Valsalva aneurysm consists of complete replacement of the aortic root and valve [2,3].Aortic sinus aneurysm is a rare and usually asymptomatic lesion.Rupture leads to chest tightness and dyspnea, suggesting left or right heart failure. Rupture of Valsalva sinus remains a very rare and deadly complication of Valsalva sinus aneurysm with a high mortality rate.Surgery is the primary treatment [4,5].…”

Section: Introductionmentioning

confidence: 99%

Rupture of Aortic Sinus Aneurysm Caused by Trauma

Jiang¹,

Xu²

2021

Preprint

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Background: Sinus of Valsalva aneurysm is just an uncommon cardiac anomaly, a congenital or acquired cardiac defect that is present in roughly 0.09% of the general population. With an incidence of less than 1% of opening heart surgery cases.Case Presentation: A sinus of Valsalva aneurysm is just an uncommon cardiac anomaly. The aneurysm usually ruptures into the cardiac cavity. The most frequent complication of SVA is rupture into the right atrium or right ventricle. We reviewed 2 cases of rupturing sinus aortic aneurysm.Conclusion: Echocardiography examination needs to monitor the diameter of the aortic sinus, aortic root and aortic valve, especially in the army.

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Uncommon Sinus Valsalva Aneurysm Dissecting into the Interventricular Septum Linked to Infective Endocarditis: Insights from Echocardiography and CT Scans

Ahmed,

Hassan,

Abdi

et al. 2024

RRCC

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The sinuses of Valsalva are three pouch-like dilations at the root of the aorta, just above the aortic valve. Aneurysms of the sinuses of Valsalva can be congenital or acquired secondary to infective endocarditis. Here, we describe the case of a 41-year-old male patient who presented to the cardiology department of our hospital with fatigue and dyspnea on exertion for long periods. He had a history of infective endocarditis, smoking and substance abuse, like khat. Cardiovascular examination showed a murmur consistent with aortic regurgitation. Other systemic examinations, including those of the neurological, respiratory and abdominal, were unremarkable. Laboratory investigations were normal. Cardiac imaging, like transthoracic, trans-esophageal and cardiac computed tomography showed an aneurysm of the sinus Valsalva dissecting in to the interventricular septum. The patient was managed with metoprolol 25 mg, perindopril 10 mg and furosemide 20 mg and recommended for surgery but unfortunately it is not available in our country.

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Ruptured right valsalva sinus into the right atrium due to infective endocarditis: a case report

Cited by 4 publications

References 12 publications

Sinus of Valsalva aneurysm in Africa: a literature review

Sinus of Valsalva aneurysm in Africa: a literature review

Rupture of Aortic Sinus Aneurysm Caused by Trauma

Uncommon Sinus Valsalva Aneurysm Dissecting into the Interventricular Septum Linked to Infective Endocarditis: Insights from Echocardiography and CT Scans

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